Active NPI
Cally Wollet, DO
- Emergency Medicine Physician
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OT020844
- Practice address
- 232 W 25TH St
Erie, PA 16544-0002 - Phone
- (814) 452-5101
- NPI assigned
- May 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OT020844 | PA | Primary |
Addresses
Primary practice location
232 W 25TH St
Erie, PA 16544-0002
Mailing address
9111 Knauf Rd
Canfield, OH 44406-8421
Phone (330) 519-7995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 327692 | NY | MD | Licensed Practical Nurse |
| OT020844 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahn Emergency Group of Erie County LTD. | Emergency Medicine | Current | Accepting new patients |
| Mahoning Valley Emergency Specialists LLC | Emergency Medicine | Current | Accepting new patients |
| Mves Boardman LLC | Emergency Medicine | Current | Accepting new patients |
| 4M Emergency Systems Tod LLC | Emergency Medicine | Current | Accepting new patients |
| Steward Emergency Physicians Ohio Inc | Emergency Medicine | Current | Accepting new patients |
| 4M Emergency Systems LLC | Emergency Medicine | Current | Accepting new patients |
| Mves Austintown LLC | Emergency Medicine | Current | Accepting new patients |
| Ahn Observation Group LLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Health Youngstown LLC | Past | Accepting new patients |
Locations
189 E Main St
Westfield, NY 14787
Phone (716) 326-4921
667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378
1296 Tod Pl NW
Ste 200
Warren, OH 44485
Phone (330) 306-5040
1350 E Market St
Warren, OH 44483
Phone (330) 841-5969
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929
6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418
232 W 25th St
Erie, PA 16544
Phone (814) 452-5337
565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308
2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Jefferson Hills, PA
- NPI 1437814696
-
- Emergency Medicine Physician
- Warren, OH
- NPI 1932152584
-
- Emergency Medicine Physician
- Warren, OH
- NPI 1902859556
-
- Emergency Medicine Physician
- Youngstown, OH
- NPI 1003869652
-
- Emergency Medicine Physician
- Austintown, OH
- NPI 1972555944
-
- Emergency Medicine Physician
- Youngstown, OH
- NPI 1205888237
-
- Emergency Medicine Physician
- Warren, OH
- NPI 1124501861
-
- Durable Medical Equipment & Medical Supplies
- Youngstown, OH
- NPI 1245180785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622160000000",
"number": "1518533736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9111 KNAUF RD",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444068421",
"telephone_number": "330-519-7995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 W 25TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165440002",
"telephone_number": "814-452-5101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLLET",
"first_name": "CALLY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-28",
"last_updated": "2021-05-28",
"certification_date": "2021-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OT020844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.